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Heart Disease (Expert Forum)
Re: High BP When I take BP
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Re: High BP When I take BP
by Barbara__0__0, Jan 01, 1995 12:00AM
Posted By Barbara on July 15, 1999 at 11:41:27
I am 41 year old, female, IDDM (for 12 years). I experience bouts of shortness of breath and I have had trouble with my blood pressure being high. I had a heart cath Monday and my arteries are all clear so no heart disease. My cardiologist wants to follow up with ultrasound to check valves and kidneys because of my blood pressure. I am on the following medications for HBP/Kidneys: 200 mg Atenolol/day, 40 mg Lotensin/day and 5 mg Plendil/day. I also take antidepressants. I saw my endrocrinologist yesterday and he said my kidneys are still in the normal function range except for microalbuminia (creatine filt rate: 90 micrgrms/24 hours). The problem:
When ever I go to a doctor, measure my BP at the drug/grocery store, go upstairs to specifically measure my BP at home, I have high blood pressure readings (150-170/90-100). If I am at home and wait a couple minutes and take my mind off the blood pressure it goes to a normal range. I mowed the lawn a week ago and when I had cut a 1/3 of it, I got weak. When I measured my BP, it was 100/60. Is there such a thing as a biofeedback reaction that my BP goes up just because it is being measured? The whole day of the cardiac cath it stayed high (but I was under a bit of stress). I am not sure how the BP is just during normal life. I suspect I am a hyper type personality and my BP actually may be high because of emotions. What can I do - is there a way to retrain the biofeedback affect or is it just typical BP fluctuations? Would more medication help or make the low times even lower?
Thanks so much for this service, it has been a lifesaver!
Barbara
I am 41 year old, female, IDDM (for 12 years). I experience bouts of shortness of breath and I have had trouble with my blood pressure being high. I had a heart cath Monday and my arteries are all clear so no heart disease. My cardiologist wants to follow up with ultrasound to check valves and kidneys because of my blood pressure. I am on the following medications for HBP/Kidneys: 200 mg Atenolol/day, 40 mg Lotensin/day and 5 mg Plendil/day. I also take antidepressants. I saw my endrocrinologist yesterday and he said my kidneys are still in the normal function range except for microalbuminia (creatine filt rate: 90 micrgrms/24 hours). The problem:
When ever I go to a doctor, measure my BP at the drug/grocery store, go upstairs to specifically measure my BP at home, I have high blood pressure readings (150-170/90-100). If I am at home and wait a couple minutes and take my mind off the blood pressure it goes to a normal range. I mowed the lawn a week ago and when I had cut a 1/3 of it, I got weak. When I measured my BP, it was 100/60. Is there such a thing as a biofeedback reaction that my BP goes up just because it is being measured? The whole day of the cardiac cath it stayed high (but I was under a bit of stress). I am not sure how the BP is just during normal life. I suspect I am a hyper type personality and my BP actually may be high because of emotions. What can I do - is there a way to retrain the biofeedback affect or is it just typical BP fluctuations? Would more medication help or make the low times even lower?
Thanks so much for this service, it has been a lifesaver!
Barbara
Related discussions
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Re: Fluctuations in Blood PressurePosted By CCF CARDIO MD - MTR on October 17, 1998 at 21:...[more]
Dear Barbara
Stress and anxiety can definitely raise blood pressure when it is being measured - in any setting, though especially in the doctor's office. While this is not as bad as having sustained high blood pressure all day long, it is still not normal and does raise your chances of developing the problems associated with high blood pressure over several years. Biofeedback and relaxation techniques may help, but it can be difficult to control your own blood pressure responses. More medication may help, but first it may be better to change the times of medication - for example, splitting the doses in the morning and evening.
I hope this has been useful. I wish you the best of luck. Feel free to write back.
Information provided here is for general purposes only. Specific questions should be addressed to your own doctor. If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
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